Journal article
Does blood pressure inevitably rise with age?: longitudinal evidence among forager-horticulturalists
Hypertension (Dallas, Tex. 1979), Vol.60(1), pp.25-33
07/2012
Handle:
https://hdl.handle.net/2376/110678
PMCID: PMC3392307
PMID: 22700319
Abstract
The rise in blood pressure with age is a major risk factor for cardiovascular and renal disease, stroke, and type 2 diabetes mellitus. Age-related increases in blood pressure have been observed in almost every population, except among hunter-gatherers, farmers, and pastoralists. Here we tested for age-related increases in blood pressure among Tsimane forager-farmers. We also test whether lifestyle changes associated with modernization lead to higher blood pressure and a greater rate of age-related increase in blood pressure. We measured blood pressure longitudinally on 2248 adults age ≥ 20 years (n=6468 observations over 8 years). Prevalence of hypertension was 3.9% for women and 5.2% for men, although diagnosis of persistent hypertension based on multiple observations reduced prevalence to 2.9% for both sexes. Mixed-effects models revealed systolic, diastolic, and pulse blood pressure increases of 2.86 (P<0.001), 0.95 (P<0.001), and 1.95 mmHg (P<0.001) per decade for women and 0.91 (P<0.001), 0.93 (P<0.001), and -0.02 mmHg (P=0.93) for men, substantially lower than rates found elsewhere. Lifestyle factors, such as smoking and Spanish fluency, had minimal effect on mean blood pressure and no effect on age-related increases in blood pressure. Greater town proximity was associated with a lower age-related increase in pulse pressure. Effects of modernization were, therefore, deemed minimal among Tsimane, in light of their lean physique, active lifestyle, and protective diet.
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Details
- Title
- Does blood pressure inevitably rise with age?: longitudinal evidence among forager-horticulturalists
- Creators
- Michael Gurven - Integrative Anthropological Sciences Program, University of California-Santa Barbara, Santa Barbara, CA 93106, USA. gurven@anth.ucsb.eduAaron D BlackwellDaniel Eid RodríguezJonathan StieglitzHillard Kaplan
- Publication Details
- Hypertension (Dallas, Tex. 1979), Vol.60(1), pp.25-33
- Academic Unit
- Anthropology, Department of
- Publisher
- United States
- Grant note
- R56 AG024119 / NIA NIH HHS R01 AG024119 / NIA NIH HHS
- Identifiers
- 99900547026001842
- Language
- English
- Resource Type
- Journal article